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Using Post-payment Insights to Build Strong Pre-payment Claims Review Programs

Building and maintaining an effective pre-payment claims review program can be challenging without leveraging prior inappropriate billing patterns or checks against fraud trends that were previously identified during post-payment claims reviews. In this session, participants will learn the importance of gathering and leveraging information from post-payment reviews to significantly strengthen pre-payment review programs, as well as the use of ICD-10 codes and outliers that can help generate new leads based on current billing trends and better address claims system vulnerabilities.
Live online Dec 14 7:00 pm UTC
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Presented by
Erin Picton, AHFI, Investigations Manager, General Dynamics Health Solutions
Presentation preview: Using Post-payment Insights to Build Strong Pre-payment Claims Review Programs

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Expanding Insight. Ensuring Value. Improving Outcomes.
General Dynamics Health Solutions, part of General Dynamics Information Technology, provides end-to-end solutions and professional services to health organizations in the defense, federal civilian government, state and local government, commercial and international sectors. Headquartered in Fairfax, Va., with major offices worldwide, company capabilities include Health Data Management and Analytics, Multi-Channel Health Communications, Health Facility Outfitting and Logistics, Clinical Staffing and Medical Research Services, Healthcare Administrative Services, and IT Services and Infrastructure.

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  • Title: Using Post-payment Insights to Build Strong Pre-payment Claims Review Programs
  • Live at: Dec 14 2016 7:00 pm
  • Presented by: Erin Picton, AHFI, Investigations Manager, General Dynamics Health Solutions
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